Scott Hartley Fredrickson MD

NPI 1144420357 - Emergency Medicine - 207P00000X

NPI Details
NPI 1144420357
Gender Male
Enumeration Date 07/25/2007
Last Updated 10/23/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
144 S 500 E
SLC UT, 84102-1907, US
Phone (801) 463-7415
Fax
Business Location
144 S 500 E
SLC UT, 84102-1907, US
Phone (801) 463-7415
Fax
Toxanomy
Taxonomy Code 207P00000X
License State California
License Number A106215
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According to our database, Dr. Scott Hartley Fredrickson MD NPI is 1144420357, taxonomy code is 207P00000X and license number is A106215, license state is located at California. Scott Hartley Fredrickson MD physically located at 144 S 500 E, Slc UT, 84102-1907. NPI Number Scott Hartley Fredrickson MD has the Individual type.

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1144420357 NPI number is provided on an as is basis without warranty of any kind. 1144420357 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Hartley Fredrickson MD are for informational purposes only.